Individual
DUSTIN JAMES ERICKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1174 S FOOTHILL DR APT 434, SALT LAKE CITY, UT 84108-1958
(801) 231-7358
Mailing address
1174 S FOOTHILL DR APT 434, SALT LAKE CITY, UT 84108-1958
(801) 231-7358
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5555820-1701
UT
Other
Enumeration date
02/01/2016
Last updated
02/01/2016
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